Provider Demographics
NPI:1700218088
Name:AURIT, SHELLEY ANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:ANNE
Last Name:AURIT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10543 N CAMINO ROSAS NUEVAS
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-7079
Mailing Address - Country:US
Mailing Address - Phone:248-767-8428
Mailing Address - Fax:
Practice Address - Street 1:10543 N CAMINO ROSAS NUEVAS
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85737-7079
Practice Address - Country:US
Practice Address - Phone:248-767-8428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ87911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice